Individual
KENEISHA MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
6840 SKYLAR MILL AVE, CORDOVA, TN 38018-8793
(314) 443-4831
Mailing address
6840 SKYLAR MILL AVE, CORDOVA, TN 38018-8793
(314) 443-4831
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1046
TN
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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